Alternative Modalities Chapter 5 MedSurg I

D

Which of the following therapeutic would be considered a complementary modality? A. Using inhalers in addition to oral medications for asthma B. Participating in a cardiac rehabilitation program after having a heart attack C. Using echinacea instead of antibiotics for an upper respiratory infection D. Using progressive muscle relaxation in addition to muscle relaxants for back pain

3

1. Which of the following statement best defines a complementary modality? 1. an alternative treatment that is used in place of a conventional treatment 2. a treatment that may be dangerous and should be avoided 3. a treatment that can be used in addition to conventional treatment 4. a treatment that is used after conventional treatments have failed

3

2. which of the following therapies is most likely to use research-based interventions? 1. naturopathy 2. osteopathy 3. allopathy 4. homeopathy

4

3. A patient who has high blood pressure tells his nurse he has been taking a ginger supplement in addition to his prescribed medications at home. What is the best response by the nurse? 1. "Nonprescription supplements can interact with prescription medications. you should not take it any longer." 2. ginger can be effective for hypertension. be sure to monitor your blood pressure while you are taking it." 3. "ginger is safe supplement because it is a food. it should not interact with your medication." 4. "you should check with your HCP to make sure the ginger doesn't interact with your other medications before you continue to take it."

1, 3, and 5

4. which of the following complementary modalities are considered relaxation therapies? select all that apply. 1. progressive muscle relaxation 2. tai chi 3. biofeedback 4. homeopathic therapies 5. guided imagery

2

5. Which of the following statements best describes the most important role of the LPN in complementary and alternative modalities? 1. The LPN should become familiar enough to recommend at least one complementary or alternative modality 2. the LPN should become adept at collecting and reporting data related to patients use of complementary or alternative modalities 3. the LPN should discourage use of complementary or alternative modalities because they can interact negatively with conventional therapies 4. the LPN does not need to become involved in complementary and alternative modalities

c

A nurse is interested in providing therapeutic touch therapy for her homecare patient with severe pain. This will be her first experience with therapeutic touch. Which of the following steps is the least appropriate before beginning to provide this new service? A. Obtain permission from the patient's physician and home care agency B. Take classes on how to administer therapeutic touch C. Tell the patient he will be able to reduce the number of medications he takes D. Read current research on the use of therapeutic touch

b

A patient admitted with chronic pain says he is interested in pursuing an alternative modality for his team but he is unsure how to determine whether it is safe. Which of the following response by the nurse is best? A. As long as the therapy does not include medication it should be safe B. You should talk with your primary care practitioner before trying anything new C. Be careful because many alternative therapies have dangerous side effects D. Traditional analgesics are always the safest treatment for chronic pain

D

A patient is preparing to go home from the hospital after an interior wall myocardial infarction. He has new prescriptions for isosorbide warfarin atorvastatin and aspirin. He also takes metformin and glipizide for type two diabetes and takes self prescribed ginseng daily. Which initial response by the nurse is best? A. Ginsing can effectively lower blood glucose in patients with diabetes, it is a good choice for you. B. Ginseng is a relatively safe herbal agent. Be sure to check out a reliable website for interactions before continuing to take it at home C. Ginseng like other herbal agents is unsafe it take with you prescribe medication D. I am concerned that ginseng could interact with your prescribed medications and blood glucose your blood clotting

b

A patient tells a nurse that her chiropractor is going to do minor surgery to remove a small superficial lump on her neck. Which response by the nurse is best? A. The lump is likely pressing against the nerve that is why it needs to be removed B. You need to question your chiropractors qualifications chiropractors do not perform surgery C. Chiropractor specialize in their function removing the lump will restore normal nerve function D. Surgery might not be necessary usually a simple chiropractic adjustment will relieve pressure on a nerve

d

The nurse has provided instruction to patient on how to use guided imagery. Which of the following statements by the patient would indicate to the nurse further teaching is required? A. I will focus on my breathing B. I imagine the ocean including the smell, the sound and the feel of the air C. I will relax all parts of my body D. I will keep my eyes open until the exercise is complete

a, b, f

The nurse recognizes which of the following is complementary or alternatives therapies aimed at altering the body's energy? Select all that apply A. Reiki B. Magnet therapy C. Music therapy D. Hydrotherapy E. Yoga F. Therapeutic touch

a

Which of the following herbal remedies is possibly effective against viruses and colds? A. Echinacea B. Feverfew C. Chamomile D. Ginger

c

Which of the following terms describes traditional Western medicine? A. Homeopathy B. Naturopathy C. Allopathy D. Ayuverda

a

Which of the following therapies would be considered an alternative modality? A. Using hydrotherapy in place of nonsteroidal anti-inflammatory drugs for arthritis B. Visiting a spiritual healer in addition to chemotherapy for cancer treatment C. Using antibiotics and bronchodilators for acute bronchitis D. Using aspirin for a headache